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J Thorac Cardiovasc Surg 2007;134:1067-1069
© 2007 The American Association for Thoracic Surgery

Brief Communication

Cor triatriatum and total anomalous pulmonary venous connection to the coronary sinus

Kazutoshi Tachibana, MD*, Nobuyuki Takagi, MD, Hisayoshi Osawa, MD, Motoki Takamuro, MD, Masato Yokozawa, MD, Hideki Tomita, MD, Tetsuya Higami, MD

Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.

Received for publication December 30, 2006; accepted for publication January 8, 2007.

* Address for reprints: Kazutoshi Tachibana, MD, Department of Thoracic and Cardiovascular surgery, Sapporo Medical University and hospital, S-1 W-16 chuo-ku, Sapporo, 060-8543 Japan. (Email: aad72150@pop17.odn.ne.jp).

The first 20% of the full text of this article appears below.


Figure 1
Drs Takagi, Higami, and Tachibana (left to right)


Clinical Summary

Patient 1
A 22-day-old infant was referred to our hospital because of hypoxia. The neonate received ventilatory support. A two-dimensional echocardiogram revealed the presence of coronary sinus (CS) total anomalous pulmonary venous connection (TAPVC) with a large atrial septal defect (ASD); the presence of a membrane within the left atrium (LA) was suspected. The neonate underwent an emergency operation with conventional cardiopulmonary bypass. The right atrium was opened, and drainage of all 4 pulmonary veins (PVs) into the CS was confirmed. There was no communication between the PVs and the LA. The membrane in the LA was identified through a secundum ASD. The anomaly was easily repaired by means of complete excision of the membrane through the ASD. The CS was then "deroofed" and cut back into the LA. An autologous pericardial patch was sewn in place to reconstitute the atrial septum so that the CS (and thus the PVs) could drain into the LA. At follow-up 12 months after the operation, . . . [Full Text of this Article]






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